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MR. DAVID W DOUGLAS MD
NPI 1154340420
Family Medicine in Lynn, MA

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
330 LYNNWAY, SUITE 109A, LYNN, MA 01901(781) 593-6005(781) 593-1370 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. David W Douglas Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID W DOUGLAS MD (NPI 1154340420) is an individual family medicine provider in Lynn, Massachusetts, licensed in Massachusetts (150082) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Albany Medical College Of Union University (1994).

NPPES Registry Identity

NPI1154340420
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. DAVID W DOUGLASCredential: MD
Location Address330 LYNNWAY, SUITE 109ALynn, MA 01901-1706
Mailing Address330 Lynnway, Suite 109aLynn, MA 01901-1706 · (781) 593-6005 · Fax (781) 593-1370
Phone(781) 593-6005
Fax(781) 593-1370
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1994
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154340420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 150082
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
330 LYNNWAY, Lynn, MA 01901
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Other Identifiers 10

Other150082MA · Tufts Health Plan
Other2242081MA · Aetna Us Healthcare
Medicare UPING45500MA
Medicaid3166341MA
OtherJ18455MA · Bc/bs
OtherB10347002MA · Cigna
Other710790MA · Harvard Pilgrim
Medicare ID-Type UnspecifiedA22422MA
Other186207MA · Healthsource
Other0101449MA · United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. David W Douglas Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799712782
PECOS Enrollment IDI20050721000202
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
254 services121 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
192 services106 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
81 services81 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
57 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
55 services54 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
43 services24 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers23 claims66 services$6.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims20 services$1.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT VAN WITTENBERGHE,MD,LLC
Psychiatry & Neurology (Psychiatry)
330 LYNNWAY, SUITE 101
LYNN, MA 01901
Essex County (781) 595-3003
JOHN P DOYLE LICSW
Social Worker (Clinical)
330 LYNNWAY
LYNN, MA 01901
Essex County (781) 640-7940
NEIL D GROSS M.D.
Ophthalmology
330 LYNNWAY, STE 335
LYNN, MA 01901
Essex County (781) 593-3939
DR. YOSHIHARU AKABANE MD.
Psychiatry & Neurology (Psychiatry)
330 LYNNWAY
LYNN, MA 01901
Essex County (781) 595-6764
MULTICULTURAL HOME CARE, INC.
Home Health
330 LYNNWAY, STE 103
LYNN, MA 01901
Essex County (781) 596-2323
YOSHIHARU AKABANE PC
Specialist
330 LYNNWAY
LYNN, MA 01901
Essex County (781) 593-6451
MS. JOAN T. PESOLA PT
Physical Therapist
330 LYNNWAY, SUITE 103
LYNN, MA 01901
Essex County (781) 596-2322
PSYCHIATRIC GROUP OF THE NORTH SHORE PC
Psychiatry & Neurology (Psychiatry)
330 LYNNWAY, SUITE 101
LYNN, MA 01901
Essex County (781) 595-3003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Douglas's NPI number?

The NPI number for David Douglas is 1154340420. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is David Douglas located?

David Douglas practices at 330 Lynnway Suite 109A, Lynn, MA 01901. The listed phone number is (781) 593-6005.

What is David Douglas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Douglas enrolled in Medicare?

Yes. David Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Douglas accept?

Health plans from Anthem Blue Cross and Blue Shield list David Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Douglas affiliated with any hospitals?

According to CMS data, David Douglas is affiliated with Northeast Hospital Corporation, North Shore Medical Center - and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for David Douglas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.